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KMID : 0361020220650030180
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Korean Journal of Otolaryngology - Head and Neck Surgery
2022 Volume.65 No. 3 p.180 ~ p.185
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Application of Ultrasonography for Safe Flap Elevation at the Learning Period of Transoral Thyroidectomy: A Technical Report
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Lee Dong-Won
Kim Jeong-Kyu
Shin Seung-Heon
Tae Kyung
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Abstract
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Transoral thyroidectomy using the vestibular approach has achieved excellent cosmetic outcomeswithout leaving any visible scars. However, concerns have been raised on how to preventcomplications, such as skin perforation and anterior jugular vein injury, especially in thelearning period. This is because working space is generally created via blind and blunt dissectionusing a blunt dilator through small vestibular incisions unfamiliar to beginners. Herein,we explain an intraoperative real-time ultrasound technique employed in transoral thyroidectomyto safely elevate a skin flap while avoiding any damage to the flap and anterior jugularvein in the learning period.
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KEYWORD
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Natural orifice endoscopic surgery, Thyroidectomy, Transoral thyroidectomy, Ultrasonography
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